ASGE-JGES Endoscopic Submucosal Dissection ESD (On-demand)

Video Transcription

Video Summary

In this Q&A session on Endoscopic Submucosal Dissection (ESD), experts discussed the rarity of surgery following ESD complications, noting a 2-4% perforation risk, but with advanced closure techniques, surgery is seldom needed. Non-curative resections sometimes necessitate surgery, particularly with deeper invasion. The utility of demarcation lines in colonic lesions differs from the stomach due to pathology variances. For perforations during ESD, experts recommend using specialized laparoscopic needles for decompression rather than angiocatheters, emphasizing cautious monitoring and air evacuation techniques to maintain procedural safety. The consensus was that ongoing assessment and immediate response are key to successful ESD outcomes.

Keywords

Endoscopic Submucosal Dissection

ESD complications

perforation risk

laparoscopic decompression

colonic lesion demarcation